| Objective To establish a management scheme for patients after sleeve gastrectomy based on PRECEDE-PROCEED.To explore whether this program can enhance the self-management effect of patients after sleeve gastrectomy,improve patients’ compliance and improve patients’ quality of life,so as to provide reference and reference for further improving the quality of life of patients with postoperative weight loss and developing more perfect nursing programs.Methods A total of 78 patients with weight loss who underwent sleeve gastrectomy in gastrointestinal surgery department of a top there hospital in Inner Mongolia Autonomous Region from January 2022 to December 2022 were selected.According to the standards of "China Guidelines for Surgical Treatment of Obesity and Type 2 Diabetes(2019 Edition)",the patients who lost weight were numbered according to the order of admission,and the random number table method was used to obtain 39 cases in the control group and 39 cases in the experimental group.The control group received routine nursing and health education of gastrointestinal surgery,and the intervention group received management program based on PRECEDE-PROCEED model.The two groups were compared in terms of BMI,blood pressure,blood sugar,psychological status score,social support score,quality of life score and self-management score,and the effect of intervention was evaluated.SPSS 25.0 was used for data collation and analysis.Results1.76 subjects were eventually included in this study(1 case fell off in each group).There was no significant difference between the two groups in general data and data before intervention(P > 0.05),indicating comparability.2.Intervention effect of management scheme based on Green’s model in patients after sleeve gastrectomy:(1)Before intervention,there were no significant differences in BMI,blood pressure,fasting blood glucose,total score of psychological status,total score of social support,total score of quality of life and total score of self-management between the two groups(P > 0.05).(2)After intervention,systolic blood pressure,diastolic blood pressure and fasting blood glucose of experimental group were(125.95 ± 4.78)mm Hg,(83.42 ± 3.27)mm Hg and(6.12±0.52)mmol/L respectively,all lower than those of control group(129.47±1.54)mm Hg.Diastolic blood pressure(86.29±2.57)mm Hg,fasting blood glucose(6.68±0.54)mmol/L,the difference was statistically significant(P < 0.05).There was significant difference in total scores between the two groups(P < 0.05).(3)On day 15,30 and 120 after intervention,the BMI of experimental groups was(35.96±0.99)kg/m2,(33.84±0.93)kg/m2and(30.55±1.06)kg/m2,respectively.It was lower than the control group on the 15 th day(36.55±1.06)kg/m2,the 30 th day(34.95±1.05)kg/m2 and the 120 th day(31.66±1.11)kg/m2,and the difference was statistically significant(P < 0.05).There were time effect,intergroup effect and interaction effect in repeated measurement variance analysis of BMI in both groups,and the difference was statistically significant(P < 0.05).(4)After intervention,The total score of psychological status(1.95±1.16),social support(37.95±1.18)and quality of life(634.03±31.84)of the experimental group were higher than those of the control group(3.00±1.27)and social support(33.13±1.28).The total score of quality of life was 576.41±26.60,and the difference was statistically significant(P < 0.05).The difference in total scores between the two groups was statistically significant(P < 0.01).(5)On the 15 th,30th and120 th days after intervention,the total scores of self-management in experimental groups were(47.79±2.29)points,(52.18±1.61)points and(59.13±2.12)points,respectively.They were higher than the control group on day 15(42.47±2.33)points,(45.58±2.42)points and(50.58±2.10)points,and the difference was statistically significant(P < 0.05).There were time effect,intergroup effect and interaction effect in repeated measure variance analysis of total self-management scores of the two groups,and the difference was statistically significant(P < 0.05). |
PDF Full Text Request